Prance, Lauren

Prance, Lauren is an sole proprietor health care provider with primary practice located at 2134 Douglas Ave , Brewton AL 36426-1155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Prance, Lauren can be contacted via phone (251) 236-4026.

Contact Information

Primary practice address
2134 Douglas Ave Brewton AL 36426-1155
Fax: (251) 270-4257
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-163141 Alabama

Profile Details

NPI number 1902376999
LBN Legal business name Prance, Lauren
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2018
Last updated Jun 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902376999 NPPES
Alabama MEDICAID 174613
Alabama Other 102G705836

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